FRED A. BLOOM

WATERVILLE, ME
NPI1104822881
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ME  007673)
Enumeration Date2005-06-27
Last Update Date2007-07-09
Business Address
Dr. FRED A. BLOOM M.D.
67 SILVER STREET
WATERVILLE, ME 04901
Phone number: 207-873-1636
Mailing Address
Dr. FRED A. BLOOM M.D.
67 JOURNEY'S END RD.
MT. VERNON, ME 04352
Phone number: 207-873-1636